Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale最新文献_第8页

Stapler-assisted total laryngectomy and hybrid primary puncture: analysis of functional results. 吻合器辅助全喉切除术与混合原发性穿刺：功能结果分析。

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2025-10-01 DOI: 10.14639/0392-100X-N3138

Claudio Parrilla, Giorgia Rossi, Ylenia Longobardi, Luca Perna, Mario Rigante, Maria Clara Pacilli, Lucia D'Alatri, Jacopo Galli

{"title":"Stapler-assisted total laryngectomy and hybrid primary puncture: analysis of functional results.","authors":"Claudio Parrilla, Giorgia Rossi, Ylenia Longobardi, Luca Perna, Mario Rigante, Maria Clara Pacilli, Lucia D'Alatri, Jacopo Galli","doi":"10.14639/0392-100X-N3138","DOIUrl":"10.14639/0392-100X-N3138","url":null,"abstract":"Objective: To describe a new surgical technique called Hybrid Primary Puncture in Stapler-assisted Total Laryngectomy and to retrospectively compare two groups of patients undergoing total laryngectomy (TL) with or without the use of stapler.Methods: Retrospective analysis performed on 110 patients undergoing TL and voice prosthesis (VP) primary placement, divided into \"stapler group\" and \"no-stapler group\". The two groups were compared in terms of pharyngocutaneous fistula (PCF) incidence and events related to voice rehabilitation (hypertonicity, voice quality, complications related to VP).Results: No statistically significant difference (p > 0.05) was found in \"stapler\" and \"no-stapler\" groups analysing the incidence of PCF, the percentages of patients who developed hypertonicity and experienced complications in the use and management of the VP. Regarding the vocal quality, a Quality of Voice index of \"good\" was found in similar percentages of patients in the two groups. Stratifying the sample, no significant differences emerged between \"stapler\" vs \"no-stapler\" in salvage TL in any of the parameters investigated.Conclusions: The new technique allows to exploit, without any additional risk, the potential of stapler and primary VP placement.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 5","pages":"315-321"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12581957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145433607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Office-based transnasal injection laryngoplasty with cross linked hyaluronic acid in unilateral vocal fold palsy: long-term results. 办公室为基础的经鼻注射喉成形术交联透明质酸治疗单侧声带麻痹：长期效果。

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2025-10-01 DOI: 10.14639/0392-100X-A1191

Marco Fantini, Andrea Ricci Maccarini, Marco Stacchini, Michela Biagini, Fulvio Paduano, Giovanni Succo, Erika Crosetti

{"title":"Office-based transnasal injection laryngoplasty with cross linked hyaluronic acid in unilateral vocal fold palsy: long-term results.","authors":"Marco Fantini, Andrea Ricci Maccarini, Marco Stacchini, Michela Biagini, Fulvio Paduano, Giovanni Succo, Erika Crosetti","doi":"10.14639/0392-100X-A1191","DOIUrl":"10.14639/0392-100X-A1191","url":null,"abstract":"Objective: To assess long-term phonatory outcomes of office-based injection laryngoplasty with cross-linked hyaluronic acid (HA) via transnasal flexible endoscopic phonosurgery (FEPS), followed by voice therapy, in patients with unilateral vocal fold palsy (UVFP).Methods: Retrospective study on 20 UVFP patients treated with HA via FEPS within 6 months from diagnosis. All underwent postoperative voice rehabilitation. Voice outcomes were assessed at baseline (T0), and at 3 (T1), 12 (T2), and 24 (T3) months using Maximum phonation time (MPT), Cepstral Peak Prominence Smoothed (CPPS), Acoustic Voice Quality Index (AVQI), GRBAS rating scale, and Voice Handicap Index-10 (VHI-10).Results: MPT, CPPS, and AVQI improved significantly at T1, remaining stable at T2 and T3. GRBAS scores showed marked improvement at T3. Videolaryngostroboscopy confirmed better glottic closure and vocal fold vibration. VHI-10 scores decreased consistently, indicating reduced voice handicap.Conclusions: FEPS-guided HA injection is a safe, effective, and minimally invasive treatment for UVFP, ensuring lasting voice improvements, especially when performed early and combined with voice therapy. This strategy may reduce the need for open surgery in selected cases.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 5","pages":"326-333"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12581954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145433566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parent-child interaction and early pragmatic, auditory and linguistic abilities in deaf children. 失聪儿童的亲子互动与早期语用、听觉和语言能力。

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2025-10-01 DOI: 10.14639/0392-100X-N3075

Felicia Zagari, Giorgia Mari, Tiziana Di Cesare, Pasqualina Maria Picciotti, Ylenia Longobardi, Daniela Rodolico, Lucia D'Alatri

{"title":"Parent-child interaction and early pragmatic, auditory and linguistic abilities in deaf children.","authors":"Felicia Zagari, Giorgia Mari, Tiziana Di Cesare, Pasqualina Maria Picciotti, Ylenia Longobardi, Daniela Rodolico, Lucia D'Alatri","doi":"10.14639/0392-100X-N3075","DOIUrl":"10.14639/0392-100X-N3075","url":null,"abstract":"Objectives: To describe the Parent-Child Interaction (PCI) in prelingually deaf children with hearing aids and cochlear implants; to evaluate correlations between PCI, parental stress and family participation in the intervention programme, as well as between PCI and auditory and spoken language abilities.Methods: Twenty children (12 males, 8 females; mean age 21.8 ± 4.2 months) received a test battery including Categories of Auditory Performance (CAP), Social Conversational Skills Rating Scale for Assertiveness (SCS-A) and for Responsiveness (SCS-R), MacArthur-Bates Communicative Development Inventories (M-BCDI). PCI was assessed by video analysis, while parental stress and family participation were assessed with the Parenting Stress Index Short Form questionnaire (PSI) and Familiar Involvement Rate Scale (FIRS), respectively.Results: PCI style was \"tutorial\" in 15%, \"modulated control\" in 40%, \"directive\" in 20% and \"asynchronous\" in 25% of cases. A significant correlation was found between PCI and FIRS score, between PCI and CAP score, and between PCI and SCS-A rating scale score.Conclusions: Assessment of PCI in deaf children is important because it relates to family participation in the intervention programme and affects the development of auditory and pragmatic abilities.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 5","pages":"349-356"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12581959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145433625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of haemodialysis on vestibular function in adult patients with chronic kidney disease. 血液透析对成年慢性肾病患者前庭功能的影响。

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2025-08-01 DOI: 10.14639/0392-100X-A731

Pasquale Viola, Pietro De Luca, Alfonso Scarpa, Filippo Ricciardiello, Federico Maria Gioacchini, Roberta Anzivino, Francesco Barbara, Alessia Astorina, Mariateresa Zicarelli, Emilio Avallone, Giuseppe Coppolino, Michele Andreucci, Giuseppe Chiarella

{"title":"Impact of haemodialysis on vestibular function in adult patients with chronic kidney disease.","authors":"Pasquale Viola, Pietro De Luca, Alfonso Scarpa, Filippo Ricciardiello, Federico Maria Gioacchini, Roberta Anzivino, Francesco Barbara, Alessia Astorina, Mariateresa Zicarelli, Emilio Avallone, Giuseppe Coppolino, Michele Andreucci, Giuseppe Chiarella","doi":"10.14639/0392-100X-A731","DOIUrl":"10.14639/0392-100X-A731","url":null,"abstract":"Objective: Chronic kidney disease (CKD) is a global health problem with a significant impact on patients' quality of life. Haemodialysis, a common treatment for advanced CKD, can profoundly affect vestibular function, which plays a critical role in maintaining balance and spatial orientation.Methods: This prospective study was conducted over a 6-month period at the Magna Graecia University and included 18 adult patients with CKD stage 5, undergoing haemodialysis. Vestibular function was assessed using the Visual Analogue Scale (VAS) for the symptom of unsteadiness and the video Head Impulse Test (vHIT) for the vestibulo-ocular reflex (VOR) gain.Results: Our results showed a statistically significant decrease in VOR gain from 0.99 at T0 to 0.92 at T1 (T-test p = 0.034 and Welch Test p = 0.037), accompanied by an increase in VAS instability scores, after the dialysis session. These results suggest a worsening of vestibular function as a result of haemodialysis.Conclusions: These results highlight the need for early diagnosis and timely intervention, such as vestibular rehabilitation, to reduce the risk of falls and improve the quality of life in CKD patients undergoing haemodialysis. Future research should investigate the long-term effects of haemodialysis on vestibular function.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 4","pages":"280-286"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Socio-economic impact of cochlear implantation in adults: an Italian study. 成人人工耳蜗植入的社会经济影响：一项意大利研究。

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2025-08-01 DOI: 10.14639/0392-100X-N3125

Annalisa Gatto, Margherita Tofanelli, Giorgio Valentinuz, Ludovico Carrino, Simone Zucchini, Egidio Sia, Francesco Uderzo, Vittorio Pietro Achilli, Giancarlo Tirelli

{"title":"Socio-economic impact of cochlear implantation in adults: an Italian study.","authors":"Annalisa Gatto, Margherita Tofanelli, Giorgio Valentinuz, Ludovico Carrino, Simone Zucchini, Egidio Sia, Francesco Uderzo, Vittorio Pietro Achilli, Giancarlo Tirelli","doi":"10.14639/0392-100X-N3125","DOIUrl":"10.14639/0392-100X-N3125","url":null,"abstract":"Objective: To analyse the cost-effectiveness of unilateral cochlear implant (CI) surgery in Italian adults with post-lingual deafness, focusing on direct costs, Health Utilities Index (HUI), Quality-Adjusted Life Years (QALY), and Incremental Cost-Effectiveness Ratio (ICER).Methods: The analysis, from the Italian healthcare system perspective, included preoperative, surgical, hospitalisation, and postoperative costs. QALYs were estimated using the Italian Nijmegen Cochlear Implant Questionnaire (I-NCIQ) and Ontario Health Utilities Index Mark 3 (HUI-3). HUI-3 score changes were analysed with regression models in Stat View (v5.0.1, SAS Institute Inc). ICER was calculated as the incremental cost per QALY (in Euros/QALY) over the average patient's lifetime.Results: CI significantly improved I-NCIQ (p < 0.001) and HUI-3 scores (p < 0.0001). Average life expectancy at surgery was 21.2 years; the degrade factor was 0.97, yielding a lifetime gain of 2.717 QALYs. Direct costs amount to €19,467.65. Cost-utility analysis showed €7,165.13 per QALY, below the €30,000/QALY ICER threshold.Conclusions: CI surgery is cost-effective based on QALY analysis. Although cost-effectiveness decreases with age, quality of life and health benefits are comparable to younger patients.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 4","pages":"261-268"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Host-index in patients undergoing upfront surgery and free flap reconstruction for head and neck squamous cell carcinoma. 头颈部鳞状细胞癌术前游离皮瓣重建患者的宿主指数。

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2025-08-01 DOI: 10.14639/0392-100X-N3165

Valentina Cristofaro, Lorenzo Giannini, Andrea Alliata, Francesca Fraccaroli, Fabiola Incandela, Madia Pompilio, Stefano Cavalieri, Alberto Deganello

{"title":"The Host-index in patients undergoing upfront surgery and free flap reconstruction for head and neck squamous cell carcinoma.","authors":"Valentina Cristofaro, Lorenzo Giannini, Andrea Alliata, Francesca Fraccaroli, Fabiola Incandela, Madia Pompilio, Stefano Cavalieri, Alberto Deganello","doi":"10.14639/0392-100X-N3165","DOIUrl":"10.14639/0392-100X-N3165","url":null,"abstract":"Objective: The Host-index (H-index) is a value obtained using blood laboratory parameters. Elevated H-index is a negative prognostic factor in patients with head and neck squamous cell carcinoma (HNSCC). The purpose of our study was to assess the prognostic impact of the H-Index in patients with locally advanced tumours who underwent reconstructive surgery with free flaps.Methods: We performed a retrospective study on a cohort of patients referred to our center from January 2013 to October 2018. We assessed the prognostic role of H-index in terms of disease-free (DFS) and overall survival (OS).Results: A total of 99 patients were studied, with a median age of 66 years. After a median follow-up of 46.5 months (range, 1.4-121.9), 5-year OS was 59.6% (CI 29.3-57.5) and 5-year DFS 47.5% (CI 16.7-49.2). The H-index showed a statistically significant correlation with a shorter DFS (HR 1.2, 95% CI 1.1-1.4, p = 0.006). No correlations were found between surgical complications and the H-index.Conclusions: This study confirmed that the H-index is an independent prognostic factor for DFS in patients with HNSCC undergoing microvascular reconstructive surgery and should be used to better stratify the risk of mortality and recurrence, with the aim of improving patient management.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 4","pages":"231-236"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preoperative vitamin D administration does not affect rates of post-thyroidectomy hypocalcaemia. 术前给予维生素D不影响甲状腺切除术后低钙血症的发生率。

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2025-08-01 DOI: 10.14639/0392-100X-A808

Eyal Yosefof, Dean Dudkiewicz, Amit Ritter, Eyal Robenshtok, Shimrit Sharav, Hanna Gilat, Gideon Bachar, Uri Alkan

{"title":"Preoperative vitamin D administration does not affect rates of post-thyroidectomy hypocalcaemia.","authors":"Eyal Yosefof, Dean Dudkiewicz, Amit Ritter, Eyal Robenshtok, Shimrit Sharav, Hanna Gilat, Gideon Bachar, Uri Alkan","doi":"10.14639/0392-100X-A808","DOIUrl":"10.14639/0392-100X-A808","url":null,"abstract":"Objective: Hypoparathyroidism is a common complication of total thyroidectomy, and the role of vitamin D deficiency in post-thyroidectomy hypocalcaemia is unclear. This study evaluates the role of preoperative vitamin D supplementation in reducing rates of postoperative hypocalcaemia.Methods: This is a retrospective review of patients who underwent thyroidectomy before (n = 728) and after (n = 491) introduction of the routine preoperative active vitamin D in a tertiary medical centre. Patients were monitored for calcium support efficacy in managing hypocalcaemia.Results: Demographics, preoperative calcium levels, pathologies, and surgeries were similar between groups. Postoperative calcium levels showed a smaller decrease in the study group (-0.5 mg/dL vs -0.62 mg/dL, p = 0.04). Short-term postoperative hypocalcaemia (< 8 mg/dL) occurred in 15.7% (patients treated between 1996-2009) and 14.5% (patients treated between 2010-2016) (p = 0.54). Symptomatic and long-term hypocalcaemia rates were also comparable (p = 0.88, p = 0.6). Central neck dissection and goiter/thyrotoxicosis were significantly associated with hypocalcaemia.Conclusions: Pre-thyroidectomy vitamin D treatment does not prevent postoperative hypocalcemia. These findings suggest individualised calcium support strategies based on patient-specific factors post-thyroidectomy.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 4","pages":"237-243"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ecchordosis physaliphora of the clivus: a case series and narrative review of the literature. 斜坡隆起性回声：一个病例系列和文献的叙述性回顾。

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2025-08-01 DOI: 10.14639/0392-100X-N3039

Panagiotis Pyrgakis, Georgia Evangelia Papargyriou, Amanda Oostra, Vasilleios Chatzinakis, Argyro Leventi, Ioannis Geramas, Christos Georgalas

{"title":"Ecchordosis physaliphora of the clivus: a case series and narrative review of the literature.","authors":"Panagiotis Pyrgakis, Georgia Evangelia Papargyriou, Amanda Oostra, Vasilleios Chatzinakis, Argyro Leventi, Ioannis Geramas, Christos Georgalas","doi":"10.14639/0392-100X-N3039","DOIUrl":"10.14639/0392-100X-N3039","url":null,"abstract":"Background: Ecchordosis physaliphora (EP) is a benign hamartomatous lesion, most commonly found in a retroclival position, as an incidental radiological finding. EP may become symptomatic, by creating a clival defect, leading to CSF leak and meningitis, thus requiring surgical treatment.Methods: Retrospective case series.Results: We present 5 cases of retroclival EP (4 males, 1 female; age range, 34-81 years) presenting in our department over the last 6 years. Four patients presented with CSF leak; 3 also had a history of bacterial meningitis, while one was diagnosed with meningitis on presentation. One patient was and remains asymptomatic 28 months later with the lesion being an incidental finding. The EP was treated in all 4 symptomatic patients with removal of the lesion and reconstruction of the defect with an endoscopic endonasal transclival approach (EETTA). All 4 patients remain free of symptoms while the lesion has not recurred for 81, 72, 52, and 22 months, respectively.Conclusions: A review of the literature depicts that there is a shift from transcranial approaches to the EETTA for treating retroclival EP. The present case series highlights that EETTA facilitates the complete excision of EP lesions, as well the reconstruction of the resulting defects, with minimal morbidity and hospitalisation.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 4","pages":"252-260"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The vascular anatomy of the internal auditory canal. A reappraisal for function preservation surgery. 内耳道的血管解剖。功能保留手术的再评价。

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2025-08-01 DOI: 10.14639/0392-100X-A1054

Antonio Mazzoni, Stefano Concheri, Leonardo Franz, Laura Astolfi, Domenico d'Avella, Elisabetta Zanoletti

{"title":"The vascular anatomy of the internal auditory canal. A reappraisal for function preservation surgery.","authors":"Antonio Mazzoni, Stefano Concheri, Leonardo Franz, Laura Astolfi, Domenico d'Avella, Elisabetta Zanoletti","doi":"10.14639/0392-100X-A1054","DOIUrl":"10.14639/0392-100X-A1054","url":null,"abstract":"Objectives: Partial or complete loss of function of the 7th and 8th nerves is a common occurrence in surgery of the cerebello-pontine angle, with the causal mechanism being considered the mechanical insult on nerves and the critical loss of blood supply to nerves and labyrinth. Preventing a vascular loss requires both soft surgery and knowledge of hitherto disregarded details of vascular anatomy. The goal of this paper is to provide the missing picture of descriptive and surgical anatomy.Methods: Data of vascular anatomy were obtained from: (i) a group of 100 injected temporal bones submitted to microdissection; (ii) a group of 30 sectioned temporal bones; (iii) a group of 30 cases who underwent surgery for small vestibular schwannoma.Results: A detailed picture was obtained concerning position and course of the anterior inferior cerebellar artery, origin and course of internal auditory artery (IAA) and its branches. Handling and cleavage of IAA from nerves was also explored.Conclusions: The role of blood supply in function preservation of 7th-8th nerves comes from preclinical studies on animals as well as anatomical studies and clinical-surgical observations in humans. Updated knowledge of vascular anatomy is expected to provide surgeons with hitherto disregarded details and contribute to function preservation.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 4","pages":"287-295"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preliminary evaluation and reliability of the Italian adaptation of the dichotic digit test in adults and children. 意大利成人和儿童双指测试适应性的初步评价和可靠性。

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale Pub Date : 2025-08-01 DOI: 10.14639/0392-100X-N2974

Federica Di Berardino, Marco Gitto, Leonardo Braga, Noemi Motta, Valeria Castelli, Eliana Filipponi, Lorenzo Pignataro, Diego Zanetti

{"title":"Preliminary evaluation and reliability of the Italian adaptation of the dichotic digit test in adults and children.","authors":"Federica Di Berardino, Marco Gitto, Leonardo Braga, Noemi Motta, Valeria Castelli, Eliana Filipponi, Lorenzo Pignataro, Diego Zanetti","doi":"10.14639/0392-100X-N2974","DOIUrl":"10.14639/0392-100X-N2974","url":null,"abstract":"Background: Dichotic listening tests, such as the Dichotic Digit Test (DDT) developed by F. Musiek, are vital for assessing auditory processing disorders. There is a lack of validated auditory tests in Italian, necessitating the adaptation of existing tools.Objective: This study aims to provide a preliminary assessment of the reliability and normative data for the newly adapted Italian version of the DDT. It hypothesises that the Italian DDT will show comparable reliability and normative data to the original English version, with a similar Right-Ear Advantage (REA).Methods: The adaptation process involved a pilot study with 20 normal hearing adults, comparing the English and Italian versions of the DDT. Subsequently, the study included 138 children aged 6-10 years, using the Italian version to assess test-retest reliability and gather normative data.Results: The findings revealed a consistent REA across participants that was more pronounced in younger children. The Italian version of DDT demonstrated adequate reliability across age groups and gender, with test-retest stability observed in both adults and children.Conclusions: This preliminary study provides essential data on the reliability and normative scores of the Italian DDT. The findings support its use in clinical and research settings, although further studies are required for comprehensive validation.","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 4","pages":"269-279"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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